Salary
💰 $73,280 - $126,408 per year
About the role
- responsible for care management within the scope of licensure for members with complex and chronic care needs
- assessing, developing, implementing, coordinating, monitoring, and evaluating care plans
- conducts assessments to identify individual needs
- implements care plans by facilitating authorizations/referrals as appropriate
- coordinates internal and external resources to meet identified needs
- monitors and evaluates effectiveness of the care management plan and modifies as necessary
- interfaces with Medical Directors and Physician Advisors
Requirements
- BA/BS in a health related field
- minimum of 5 years of clinical experience
- Current, unrestricted RN license in applicable state(s)
- Multi-state licensure required if providing services in multiple states
- Certification as a Case Manager preferred
- a comprehensive benefits package
- incentive and recognition programs
- equity stock purchase
- 401k contribution
- merit increases
- paid holidays
- Paid Time Off
- short and long term disability benefits
- life insurance
- wellness programs
- financial education resources
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
care managementassessmentscare plansauthorizationsreferralsmonitoringevaluatingcoordinating resourcesmodifying care plansclinical experience
Soft skills
interpersonal skillscommunication skillsorganizational skillscollaborationproblem-solving
Certifications
RN licenseCase Manager certification